HomeMy WebLinkAboutBOS 20251217000277Instrument Number: 20251217000277 Document:BS Rec: 5307.50 Page-1 of 5
Record Date:12/17/2025 11:33 AM
Electronically Recorded King County, WA
Return Address:
City Clerk's office
City of Renton
joSS South Grady Way
Renton, WA 98057
Please make no rywork in the margin space , Reserved for Cbunty AvJ Kw'i
TYPE OF DOCUMENT: Bill of Sale
GRANTOR(S): Paul Newcombe and Vanessa Rager
GRANTEE: City of Renton, a Municipal Corporation
Pal N L01"20 & LOT 21, BLK, 5, EARUNGTON
ASSESSOR TAX PARCEL I.D. NUMBERS: 2143700825
NAME OF PROJECT1012 SW 4th PI Fire Hydrant
ADDRESS OF PROJECT: 1012 SW 4th PI
PROJECT FILE NUMBERS: C25001798, PLR-4356
LEGAL DESCRIPTION: See Attached Exhibit A of this Document
PERSONAL PROPERTY DESCRIPTION: See Attached Exhibit 0 of this Document
Reference Number(s) of Documents assigned or released:
Additional reference #s on page __ of document
The Grantor, as named above, for, and in consideration of mutual benefits, hereby grants, bargains, sells
and delivers to the Grantee, as named above, the following described personal property as described in
Exhibit B of this document
By this conveyance, Grantor will warrant and defend the sale hereby made unto the Grantee against all
and every person or persons, whomsoever, lawfully claiming or to claim the same,. 'This conveyance shali
bind the heirs, executors, administrators and assigns forever,
IN WITNESS WHEREOF, said Grantor(s) has caused this Instrument to be executed this _qE ItE7day of
--0 20
By 66) By
Its 0 !n.2� Its
Instrument Number: 20251217000277 Document:BS Rec: S307.50 Page-2 of 5
Record Date:12/17/2025 11:33 AM King County, WA
BILL OF SALE ;o '0
798, P -43 7roject File Number- C2S001=LJRA
Notary Seat must be within box
STATE OF WASHINGTON )SS
COUNTY OF KING
IIII
I certify tha I koomorave P ztti fa tory evidence that
signed this instrument anc
'*4.r
acknowledged it to be his/her/their free and volurntary act for the uses and purpose�
41
mentioned In this Instrument,
C>
A69220
0
ios" 'PA
Notary Public in an f I S W
gs
�rt e to of shin
Notary
4$* OF W�SP
(Print:
My -
appointment expires
Dated.
REPRESENrATIVE FORM OF ACKNOWLEDGEM17NT
Notary Seat must be within box
STATE OF WASHINGTON )S5
COUNTY OF KING
I certify that I know or have satisfactory evidence that
---,signed this instrument, or
oath stated that he/she/they was/were authorized to execute the instrurneni
and acknowledge it as the and
of to be free ant,
voluntary act of such party/parties for the uses and purposes mentioned in the
instrument,
Notary Public in and for the State of Washington
Notary (Print)
My appointment expires
Dated:
CORPORATE FORM OFACKNOWLEDGEMMT
Notary Seal must be within box
STATE OF,WASHlNGTON )SS
COUNTY 6FKING
On of 20.___, before me personally appeared
to me knowr
to be of the corporation thas
executed the within Instrument, and acknowledge the said instrument to be the free
and voluntary act and deed of said corporation, for the uses and purposes therin
mentioned, and each on oath stated that he/she was authorized to execute said
instrument and that the seal affixed is the corporate seal of said corporation,
Notary Public in and for the State of Washington
Notary (Prmt)
My appointment expires;
Dated:
Instrument Number: 20251217000277 Document:BS Rec: S307.50 Page-3 of 5
Record Date:12/17/2025 11:33 AM King County, WA
BILL OF SALE
Project File Number. ra
Instrument Number: 20251217000277 Document:BS Rec: S307.50 Page-4 of 5
Record Date:12/17/2025 11:33 AM King County, WA
City Project Numbers,
WTR - 4356
Return Address:
City CferWs Office
SAP - �/A
City of Renton
ioss south Grady Way TRO - 'N/A
Renton WA 980S7 TED- 4366
EXHIBIT "B"
Contributary Assets
PROJECT NAME: 1012 SW 4th PI Fire Hydrant
CONSTRUCTION PERMIT NO. -5-5001798
PROJECT FILE NUMBER: 4356
Per the request of the City of Renton the following information is furnished concerning final costs for
improvements installed and turned over to the City for the referenced project,
ROADWAY, STREET LIGHTS AND SIGNALS LUA, CUS001798, PLR-4356
Subtotal
Sales Tax
Grand Total Roadway, Street Lights and Signals
STORMWATER SYSTEM IMPROVEMENTS
Subtotal $
Sales Tax $
Grand Total Storm water System Improvements
STORMWATER FACILITIES
Subtotal $
Sales Tax $
Grand Total Stormwater Facilities $
Instrument Number: 20251217000277 Document:BS Rec: S307.50 Page-5 of 5
Record Date:12/17/2025 11:33 AM King County, WA
PROJECT NAME: 1012 SW 4tb P1 Fare Hydrant
CONSTRUCTION PERMIT NO. C25001798
PROJECT FILE NUMBER: � 4356
QTY
UNIT SIZE TYPE
ITEM
OTAE C S"
20
i,F. 6" 0i
Water Main Pape and Fittings
2,300.00
EA. 6"°
Cate Valve Assembly
1,350.00
1
EA. 6"
Fare Hydrant Assembly
5,000.00
.._
..,.�.� Subtotal
A.
.,.m,....,�7"6540
Sales Tax
$
787�95
Grand Total Water System Improvements
$
8,437.95
SANITARY SEWER SYSTEM IMPROVEMENTS
Subtotal
?
Say es Tax
Grand "Total Sanitary
Sewer System Improvements